Hospital Medicine
Building Bridges Between Silos: An Outcomes-Logic Model for a Multidisciplinary, Subspecialty Fellowship Education Program
Graduate medical education program directors face new challenges as the Accreditation Council of Graduate Medical Education (ACGME) modifies curriculum standards. Current standards require “a formally-structured educational program in clinical and basic sciences related to the subspecialty,” and these requirements involve training in areas beyond direct patient care.1 Similarly, the American Board of Pediatrics (ABP) has expanded curriculum requirements for fellowship training,2 and the Federation of Pediatric Organizations has added that training in scholarship, core competencies, and skills in lifelong learning and teaching also should be incorporated.Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure
Limited data exist on medical error disclosure in pediatrics. We sought to assess physicians' attitudes toward error disclosure to parents and pediatric patients.Direct Admission to Hospital: A Mixed Methods Survey of Pediatric Practices, Benefits, and Challenges
Direct admissions account for 25% of pediatric unscheduled hospitalizations. Despite this, our knowledge of direct admission practices and safety is limited. This study aimed to characterize direct admission practices, benefits, and challenges at a diverse sample of hospitals and to identify diagnoses most appropriate for this admission approach.Shortening the Discharge Process on the General Pediatric Floors: A Quality Improvement Initiative
According to Journal of Hospital Medicine, 22.8% of all patients experienced at least one delay in their care, accounting for 82 delay-related hospital days and $170,000 in cost. 42.3% of those delays were resulted from physician behavior, and approximately 25% of patients could have discharged sooner than they were. The general pediatric floor at Jersey Shore University Medical Center is a 28 bed unit, managed by one general pediatric attending, two senior pediatric residents, and two pediatric interns during the day, and one pediatric senior resident and one intern at night.Stratification of Children by Medical Complexity
To stratify children using available software, Clinical Risk Groups (CRGs), in a tertiary children's hospital, Seattle Children's Hospital (SCH), and a state's Medicaid claims data, Washington State (WSM), into 3 condition groups: complex chronic disease (C-CD); noncomplex chronic disease (NC-CD), and nonchronic disease (NC).Determinants of Career Satisfaction Among Pediatric Hospitalists: A Qualitative Exploration
To characterize determinants of career satisfaction among pediatric hospitalists working in diverse practice settings; to develop a framework to conceptualize factors influencing career satisfaction.Assessing and Managing the Social Determinants of Health: Defining an Entrustable Professional Activity to Assess Residents' Ability to Meet Societal Needs
Documenting what residents learned by teaching children to waltz is not yet as simple as 1, 2, 3 but perhaps it just became easier. —C. Andrew Aligne, MD, MPH1The American Academy of Pediatrics and Quality Improvement
Quality is 1 of the 3 main pillars supporting the American Academy of Pediatrics (AAP) Agenda for Children. The AAP has developed and promoted quality improvement (QI) programs to its membership for several decades. For more than 20 years, the AAP has maintained a committee of pediatrician leaders who have demonstrated an expertise in the area of QI and quality measurement, currently named the Steering Committee on Quality Improvement and Management. This committee works on developing pediatric QI measures, identifying patient safety programmatic and educational opportunities, reviewing evidence-based clinical practice guidelines, writing QI-related policy statements, and determining methodologies for implementing QI in both primary care and specialty pediatric practices.Quality Improvement Research in Pediatric Hospital Medicine and the Role of the Pediatric Research in Inpatient Settings (PRIS) Network
Pediatric hospitalists care for many hospitalized children in community and academic settings, and they must partner with administrators, other inpatient care providers, and researchers to assure the reliable delivery of high-quality, safe, evidence-based, and cost-effective care within the complex inpatient setting. Paralleling the growth of the field of pediatric hospital medicine is the realization that innovations are needed to address some of the most common clinical questions. Some of the unique challenges facing pediatric hospitalists include the lack of evidence for treating common conditions, children with chronic complex conditions, compressed time frame for admissions, and the variety of settings in which hospitalists practice.Table of Contents
S1 Quality Improvement in Pediatric Health Care: Introduction to the Supplement Marie C. McCormick, John Patrick T. Co, and Denise DoughertyInstructions for Authors
Effective January 2012, the journal now requires all authors to complete the ICMJE conflict of interest form (available at http://www.icmje.org/coi_disclosure.pdf) and to upload these forms on the editorial website at the end of all new manuscript submissions.Instructions for Authors
Effective January 2012, the journal now requires all authors to complete the ICMJE conflict of interest form (available at http://www.icmje.org/coi_disclosure.pdf) and to upload these forms on the editorial website at the end of all new manuscript submissions.Instructions for Authors
Effective January 2012, the journal now requires all authors to complete the ICMJE conflict of interest form (available at http://www.icmje.org/coi_disclosure.pdf) and to upload these forms on the editorial website at the end of all new manuscript submissions.Instructions for Authors
Effective January 2012, the journal now requires all authors to complete the ICMJE conflict of interest form (available at http://www.icmje.org/coi_disclosure.pdf) and to upload these forms on the editorial website at the end of all new manuscript submissions.Instructions for Authors
Effective January 2012, the journal now requires all authors to complete the ICMJE conflict of interest form (available at http://www.icmje.org/coi_disclosure.pdf) and to upload these forms on the editorial website at the end of all new manuscript submissions.Instructions for Authors
Effective January 2012, the journal now requires all authors to complete the ICMJE conflict of interest form (available at http://www.icmje.org/coi_disclosure.pdf ) and to upload these forms on the editorial website at the end of all new manuscript submissions.Instructions for Authors
Academic Pediatrics strives to improve the health and well-being of children, their families, and their communities through:Instructions for Authors
Academic Pediatrics strives to improve the health and well-being of children, their families, and their communities through:Instructions for Authors
Academic Pediatrics strives to improve the health and well-being of children, their families, and their communities through:The Academic Pediatric Association: The First 50 Years
At the 1953 meeting of the American Pediatric Society and Society for Pediatric Research (APS-SPR), Barbara Korsch convened an informal gathering of individuals who shared the notion that outpatient care deserved more attention. Chairs, including those who were “not stereotyped with ambulatory pediatrics,” such as Saul Krugman and Emmett Holt, attended, validating ambulatory pediatrics as “worthy of attention.”1 Informal meetings ensued annually for several years. By the end of the decade, the sentiment of individuals such as Loren MacKinney was that it was time “to actually do some work.”2 Barbara Korsch surveyed the meeting participants to determine what that work might be.Future of Academic General Pediatrics—Areas of Opportunity
The dynamic change in the United States occurring in the diversity of pediatric populations and in health care will dramatically influence many dimensions of care, teaching, research, and advocacy in academic general pediatrics. By 2025, the nonwhite and Hispanic pediatric population will increase to 50% (Figure 1),1,2 leading the demographic change that is projected to occur in the whole United States population by 2050. This shift in population demographics is occurring concurrently with significant changes in both health care funding and the sophistication and complexity of systems caring for children, accentuated by an explosion of information technology.Instructions for Authors
Academic Pediatrics strives to improve the health and well-being of children, their families, and their communities through:The Academic Pediatric Association: 50 Years of Contributions to Pediatric Education
In interviews for the Academic Pediatric Association (APA) Oral History Project, a number of early APA presidents identify attention to education as a distinguishing feature of the association from its inception. Robert Haggerty notes, “A big issue for the APA was that it is one of the few places where we talked about education. I don’t remember hardly any SPR or APS meetings talking about education, but educational interventions and educational challenges were always a part of the APA.”1 Evan Charney adds, “The fact that medical education was something that deserved careful attention and had a place in the academic environment was, I believe, something that the APA introduced.”2 During the past 50 years, the “careful attention” and “educational interventions” have resulted in the APA and its members playing a leading role in advancing education in ambulatory and other general pediatrics settings.The APA and the Rise of Pediatric Generalist Network Research
The Academic Pediatric Association (APA, formerly the Ambulatory Pediatric Association) first encouraged multi-institutional collaborative research among its members over 30 years ago. Individual APA members subsequently went on to figure prominently in establishing formal research networks. These enduring collaborations have been established to conduct investigations in a variety of generalist contexts. At present, 4 generalist networks—Pediatric Research in Office Settings (PROS), the Pediatric Emergency Care Applied Research Network (PECARN), the COntinuity Research NETwork (CORNET), and Pediatric Research in Inpatient Settings (PRIS)—have a track record of extensive achievement in generating new knowledge aimed at improving the health and health care of children.
